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경추 양성 골아 세포종의 수술적 치험 1례 : 증례보고 A Case Report
김대능,김상용,이동열 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.2
Benign osteoblastic lesions are rare bone tumor and they are usually devided into osteoid osteoma & benign osteoblastoma based on their biological behavior. A benign osteoblastoma is prevalent in the spine, with the lamina and pedicle being involved frequently. Neurological abnormalities are more fiequent in patients with osteoblastoma, which frequently extend into the neural canal. Relief of pain and neurological recovery is dependent primarily on the degree of tumor removal. We have experienced good result after excision of a benign osteoblastoma at the cervical spine in a 37-year-old patient.
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김대능,박화성,이동열 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.1
Based upon the relationship between clinical, and radiographic(brain a and angiograms) findings, the authors analyzed 87 cases of ruptured anterior communicating artery aneurysms that were operated on at the Department of Neurosurgery of Wallance Memorial Baptist Hospital from January 1987 to December 1992. The results of anlysis were summarized as follows: 1) On the preoperative brain Cr, ventricular enlargement, cerebral or ventricular hemorrhage were 20% and in those cases, Hunt & Hess grade was high and prognosiS was poor. 2) On the basis of preoperative angiograms, the anterior communicating army aneurysms were categorized as 4 directions. Anterior direction was 5342, superior 21 %, inferior 22%, and posterior direction was 5% but there was no significant relationship between direction of aneurysm and prognosis. 3) The anatomical side dominance of anterior communicating artery we as follows right dominance of A, diameter in 19(22%h, left dominance of AI diameter in 39 cases(45s0, no dominance of side in 29 cases(33R). 4) The size of the aneurysms in angiogram was as follows smaller than 5mm in 17 case~(20 %), 6-10mm in 51 cases(59%), 11-15mm in 16 cases(1842), larger than 16mm in 3 case~(35 6 ) . 5) The distance from the planum sphenoidale to aneurysmal neck in angiogram was as follows below 6mm in 24 cased2346 ), 7- 12mm in 47 cases(5442), above 13mm in 16 cased18 96). 12 out of 16 cases above 13mm was operated on through anterior interhemispheric app roach. 6) In anterior direction, of aneurysm there was high incidence of ventricular enlargement and cerebral or ventricular hemorrhage but there was no significant relationship between vasespasm and direction of aneurysm. 7) There was no signification relationship between direction of aneurysm, and prognosis and the better H & H grade noted the better prognosis.
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재발성 성상세포종의 수술적 체험 : 증례 보고 Case Report
박화성,김대능,여만수,박상남,김상용,이동열 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12
The treatment of recurrent supratentorial glioma is one of the most challenging and at the same time one of the oldest problem in neurosurgery, especially in case of multiple recurrence. We have experienced 15-year-old male, multiple recurrent supratentorial glioma patient who was subjected to 6 times of operation, radiation therapy and chemotherapy during 5 year follow-up period. We reviewed the literature and discussed about recurrent rate, malignant change, method of management and indicatin of reoperation in low grade glioma.
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우측 테리온을 통한 양측성 대칭성 내경동맥류의 결찰 : 증례 보고
여만수,조봉수,김대능,박화성,박상남,김상용,이동열 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.11
The known incidence of multiple aneurysm is about 5~30% in the literatures and bilateral symmetrical aneurysms are more than bilateral asymmetrical aneurysms. The microsurgical technique is so much developed to control the bilateral multiple aneurysm at one stage operation in recent The author report on case of bilateral carotid aneurysms clipped by right side pterional appraoch at one time, successfully.
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뇌지주막낭종의 수술적 치료에 대한 임상적 분석 : 직접적 제거술을 중심으로
박화성,이동열,김상용,박상남,김대능,여만수 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.10-11
Arachnoid cysts are benign developmental cysts that occur between arachnoid layers, which represent approximately 1 percent of all intracranial space-occupying lesions, their most common location being the middle cranial fossa. Current surgical treatment options for intracranial arachnoid cyst are either craniotomy and excision of cyst or shunting of cyst contents extracranially. We treated 10 cases of intracranial arachnoid cyst by excision during last two years. For the best surgical curability, we have, not only removed the cyst wall and adhesive gliotic tissue as possible, but also made the opening to basal cistern for communication. During average 8.4 months follow up, we observed, not specific morbidity and morthality, but good clinical improvement and brain expansion. As above result, if haven't specific problem, the direct surgical removal may be the primary choice for intracranial arachchnoid cyst, especially in children with noncommunicating type in sylvian.
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